类风湿性关节炎致全身多关节畸形患者辅助纤支镜清醒插管1例

A Case Report of a Patient with Rheumatoid Arthritis Induced Systemic Multiarticular Malformation Assisted by Fiberoptic Bronchoscopy Guided Awake Endotracheal Intubation

摘要: 呼吸道通畅是保障患者生命安全的前提，而各种困难气道造成的插管困难一直是临床麻醉中无法避免的难题。类风湿性关节炎作为一种较为常见的自身免疫性疾病，随着病情的发展往往会累及多个关节，对麻醉造成影响。本报道以本院近期一例需行气管插管麻醉的类风湿性关节炎致全身多关节畸形并困难气道患者为例，探讨针对重度困难气道的处理办法。

Abstract: Airway patency is the premise to ensure the safety of patients, and the difficulty of intubation caused by various difficult airway has always been an unavoidable problem in clinical anesthesia. As a common autoimmune disease, rheumatoid arthritis often involves multiple joints and affects anesthesia with the development of the disease. In this report, a recent case of rheumatoid arthritis patients with systemic multiarticular malformation and difficult airway requiring endotracheal intubation and general anesthesia in our hospital was taken as an example to explore the management methods for severely difficult airway.